John Arthur McInnis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2192 Issued in WI

Practice address

100 Arcadian Avenue
Waukesha, WI 53186

Phone

(262) 542-3676

Fax

(262) 542-3826

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nehs Family Vision Center, Inc.

  • Optometrist
  • Waukesha, WI
  • NPI 1609944859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689686362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8116 CANTERBURY LANE",
            "address_2": "#11",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "53551",
            "telephone_number": "920-648-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARCADIAN AVENUE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-542-3676",
            "fax_number": "262-542-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38532200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna McGrath, PTA
• Elizabeth McGregor, RDH
• Abigail McGuire, PT
• Lori B McIlroy, LCSW, CSAC
• Kamryn McIlwee
• Samantha McIntosh
• Jerel McKay, OTR
• Mary B McKee, RD
• Joseph McKenzie, SAC-IT
• Kelly Ann McKeon

• Optometrist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.